Active NPI
Liberty Rhea Ranada Ebarle PT PC
- Physical Therapist
- Bronx, NY
National Provider Identifier
1073163168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- LIBERTY RHEA RANADA EBARLE PT PC
- Practice address
- 14 Bruckner Blvd
Bronx, NY 10454-4414 - Phone
- (718) 402-5200
- Fax
- (718) 402-5211
- NPI assigned
- Sep 19, 2019
- Last updated
- Jan 21, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Liberty Rhea Ranada Ebarle, PT
- Title
- PT
- Phone
- (718) 402-5200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
14 Bruckner Blvd
Bronx, NY 10454-4414
Mailing address
14 Bruckner Blvd
Bronx, NY 10454-4414
Phone (718) 402-5200
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Forest Hills, NY
- NPI 1306268891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568851200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1579564800000",
"number": "1073163168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 BRUCKNER BLVD",
"city": "BRONX",
"state": "NY",
"postal_code": "104544414",
"telephone_number": "718-402-5200",
"fax_number": "718-402-5211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 BRUCKNER BLVD",
"city": "BRONX",
"state": "NY",
"postal_code": "104544414",
"telephone_number": "718-402-5200",
"fax_number": "718-402-5211"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIBERTY RHEA RANADA EBARLE PT PC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-19",
"last_updated": "2020-01-21",
"certification_date": "2020-01-21",
"status": "A",
"authorized_official_last_name": "EBARLE",
"authorized_official_first_name": "LIBERTY RHEA",
"authorized_official_middle_name": "RANADA",
"authorized_official_title_or_position": "PT",
"authorized_official_telephone_number": "718-402-5200",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.